Physician Assistants & Advanced Practice Nursing Providers (658)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Physician Assistants & Advanced Practice Nursing Providers
CLASSIFICATION Clinical Nurse Specialist
AREA OF SPECIALIZATION Psychiatric/Mental Health, Child & Adolescent
STATUS Active
VA CODE V100326
X12 CODE 364SP0807X
SPECIALTY CODE 89
INDIVIDUAL/NON INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5253461
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:23
    STATUS:   ACTIVE